Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $4,365.16	Facility		$2,754.23	$2,754.23	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,818.38 / $5,754.40	Professional		$2,570.40	$2,818.38	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,456.54 / $7,943.28	Professional		$4,786.30	$6,456.54	$7,943.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,570.88 / $7,413.10	Facility		$3,630.78	$4,570.88	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,786.30 / $20,892.96	Professional		$2,570.40	$4,786.30	$20,892.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $6,456.54 / $6,456.54	Professional		$5,888.44	$6,456.54	$6,456.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $6,309.57	Professional		$5,888.44	$5,888.44	$6,309.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $5,495.41	Professional		$3,311.31	$4,786.30	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $5,011.87 / $7,762.47	Professional		$3,090.30	$5,011.87	$7,762.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,456.54 / $6,760.83	Professional		$5,495.41	$6,456.54	$6,760.83